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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191290432
Report Date: 09/08/2023
Date Signed: 09/08/2023 10:12:53 AM

Document Has Been Signed on 09/08/2023 10:12 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:WILLARD CHILDREN'S CENTERFACILITY NUMBER:
191290432
ADMINISTRATOR:REE HUDSONFACILITY TYPE:
850
ADDRESS:345 SO. HALSTEAD ST.TELEPHONE:
(626) 792-5763
CITY:PASADENASTATE: CAZIP CODE:
91107
CAPACITY: 64TOTAL ENROLLED CHILDREN: 64CENSUS: 24DATE:
09/08/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Lorna Washington - Site SupervisorTIME COMPLETED:
10:25 AM
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Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced case management inspection for an Action Level Exceedance (ALE) detected in a water fixture in the facility. Upon Arrival at 8:45am, LPA met with Site Supervisor Lorna Washington who guided LPA on a tour of the facility. There were children present during the time of the inspection.

Census was taken. LPA observed 24 children with 6 staff members.

LPA reviewed new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the testing of water for lead in Child Care Centers (CCCs) with facility director during the inspection. Per AB 2370, all CCCs that are located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing.

Facility provided facility sketch and required forms LIC 9276, LIC999 and LIC9275 to LPA during today’s inspection.

On 08/09/2023, the Department received notification from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). The SWRCB report indicated the facility was inspected and samples were collected on 08/09/2023. Faucets and drinking fountain reported with 5.5 ppb or greater lead exceedance levels were as follows:

  • B - Playground Drinking Fountain - Result 9.31ppb
  • E - Classroom 3 Kitchen Sink - Result 11.1ppb
  • F - Classroom 3 Kitchen Sink Filter - Result 6.39ppb

Site Supervisor states that children do not drink from the water fountains (Outlet B) around the campus. CHildren bring their own water bottles and the facility provides disposable water bottles to the children of Pasadena Unified School District (PUSD). Since the testing, the water has been shut off to the drinking fountains and the spouts have been removed. REPORT CONTINUES PAGE 1 of 2
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE: DATE: 09/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/08/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: WILLARD CHILDREN'S CENTER
FACILITY NUMBER: 191290432
VISIT DATE: 09/08/2023
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The Classroom 3 sink outlets (E and F) are not used as food prep or drinking water. Site Supervisor states that the outlet is only used to wash brushes or art supplies, as well as washing hands. No water is ingested from any outlet on campus. Food provided is brought from the PUSD schools, ready to serve, so no food prep happens on site.

Grant funding will be available for testing and remediation of lead to the Child Care Centers that qualify. To make a determination of eligibility, refer to PIN 21-04-CCP. For Lead Testing and Prevention Information, including additional resources please visit

https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information

The facility is not being cited as none of the faucets with lead exceedance are being used for consumption or food preparation.

Notice of Site Visit was provided and must remain post for 30 consecutive days. A copy of PIN 21-21-CCP and appeal rights were provided to facility today.

An exit interview conducted with Site Supervisor Lorna Washington, at 10:05am, and a copy of this report was provided.

END OF REPORT PAGE 2 of 2

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 09/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2023
LIC809 (FAS) - (06/04)
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